Psychology 4

A 26-year-old female presents with anxiety, depression, and irrational fear of contracting a serious illness. She frequently misinterprets normal bodily sensations as manifestations of disease. Based on the patient’s behavior and personality, which of the following is the most likely diagnosis?

A 26-year-old female presents with the behavior pattern of being dependent, clinging, and sub- missive. She has difficulty making her own decisions and will not disagree with anyone for fear of being disliked. Based on these characteristics, which of the following is the most appropriate diagnosis?

A 77-year-old woman is to undergo major surgery for carcinoma of the pancreas. What is the primary ethical responsibility of the surgeon to the patient?

If haloperidol therapy is ineffective in the treatment of Tourette syndrome, which of the following would be the most appropriate therapy?

A 42-year-old woman who is an executive in an advertising agency has acute fear of riding in an elevator. Which of the following is the most likely diagnosis?

Which of the following is not characteristic of hypomania?

An 8-year-old boy has continuing motor and phonic tics. Tourette syndrome is diagnosed. Which class of medication is the preferred initial therapy?

A 57-year-old man has a mood disturbance disorder lasting 3 years characterized by periods of hypomania and periods of depressive symptoms. Which of the following is the most likely diagnosis?

A 33-year-old female reports that since she was in her 20’s she has experienced brief, recurrent, unpredictable episodes of intense anxiety. Recently, these episodes have been occurring frequently and have been accompanied by palpitations, headaches and self-monitored high blood pressure. Which of the following is the most likely diagnosis?

A 24-year-old man returns from a combat zone and is diagnosed with post-traumatic stress disorder. This is considered to be which of the following?

Bupropion therapy is initiated in a 50-year-old woman in treatment of depression. The patient should be counseled that which of the following is the most likely adverse effect?

A 36-year-old woman has newly diagnosed bipolar disorder for which lithium therapy is initiated. Serial determination of which of the following serum levels should be advised?

A 32-year-old man who is a successful accountant comes into your office complaining of abdominal discomfort. He tells you that he experienced similar symptoms 2 days ago, at which time, he had to pull his car off the road because he started to sweat profusely, experienced nausea, felt his heart beat stronger and faster, and experienced “difficulty in breathing”. He had a strange feeling of being “alone and out of control”. He remembers trembling, feeling chills and having fleeting thoughts of dying. Your tests (EKG, X-rays, blood, urine, GI, etc.) are all normal. Episodes last 10-15 minutes. Which of the following is the most likely diagnosis?

A mother has brought her 17-year-old daughter into the office and has given the following description of her behavior, “She is constantly perceiving herself as being overweight, when in fact she isn’t. She cannot go a day without an extensive exercise session. At dinner time she has to have her plate filled with what is generally double portions but after dinner disappears to the bathroom. Her mother noted a leftover laxative wrapper in her trash and at her last dental appointment, the dentist was concerned about eroded enamel. What is the most likely diagnosis?

A spouse presents with complaints about her husband, whose behavior has changed in the last six months. At times he just sits quietly in the dark without responding to questions. Other times he becomes agitated over little things that never bothered him before. “He is not abusive or enraged with me”. He does not seem paranoid. He seems cognizant and shows no signs of delusionary behavior. When he goes through these episodes of mild agitation, “he can’t seem to focus on our store business”. The husband’s physical exam is normal. The patient is most likely suffering from:

An 18-year-old man is brought to the emergency department after inhaling oxycodone. Blood pressure is 94/60 mmHg, pulse is 50/min and regular, and respiratory rate is 6/min. The patient is obtunded and pupils are pinpoint. Intravenous administration of which of the following is the preferred initial therapy?

A 35-year-old woman with a history of bipolar I disorder complains of nausea, vomiting, diarrhea, marked fatigue, feeling confused at times, and tremor. Her medications include multivitamins, lithium carbonate, and Motrin, which she started taking about 1 week prior. Her last menstrual period was 3 days prior. The most likely cause of her symptoms is:

A patient with a history of a type of psychosis with positive and negative symptoms lasting less than 6 months could be diagnosed with:

A patient with a history of symptoms of schizophrenia and either major depression or bipolar disorder could be diagnosed with:

A 5-year-old boy is brought to the office by his parents, who complain that their child is easily distracted and not paying attention in his kindergarten class. He is able to focus at home and in other settings. He sleeps 9 to 10 hours at night and has a good appetite. His parents report that he has always been an energetic child and has no problems participating in group activities at home or at school. This is the first time this behavior has been reported, and no problems were noted at his preschool in previous years. The most likely diagnosis for this child is:

A patient with a history of sudden onset of at least one positive symptom of psychosis lasting 1 to 30 days, often following an extremely stressful event, could be diagnosed with:

A patient with a history of sudden onset of disturbance in consciousness and change in cognition could be diagnosed with:

A patient with a history of progressive onset of deterioration in cognitive function without change in consciousness could be diagnosed with:

A 19-year-old college student is brought to the clinic by his girlfriend who is very concerned. About 1 year ago when they first met, Tommy was an “A” student at the top of his class, very outgoing, and involved with his family, community, friends, and church. About 8 months ago, his behavior began to change—occasionally at first and then more consistently. His grades have dropped dramatically; he rarely socializes with anyone, including his family, and he has stopped going to church, which he always loved. Over the past month, he seems to be paying less and less attention to dressing appropriately or keeping clean. He has not had a bath or shower in 1 week because he sees the bathtub as deeper and thinks he might fall into the bathtub and not get back out. He does not drink alcohol, smoke, or use drugs, and his girlfriend is unable to elicit from him—or think of herself—what may have caused him to start acting so strangely. Sitting in the office, he appears disheveled, malodorous, apprehensive, and upset. He denies hallucinations and does not appear to be responding to any internal stimuli at the moment. Based on this information, the most likely diagnosis is:

A 22-year-old man arrives at the student health clinic with complaints of fatigue, difficulty sleeping, increased appetite, and difficulty concentrating. He reports that his symptoms have been going on for the past month and he cannot seem to get better no matter what he does. He complains of feeling sad and depressed a lot, even though he does not know of anything that should make him feel this way. He also reports that things that normally shake him out of his blues are not working. Which of the following is the most likely diagnosis?

The clinical features of the inability to form relationships or respond to others in a meaningful way; the appearance of being cold and aloof, “odd,” and eccentric; and a tendency to gravitate toward solitary jobs or activities are most closely associated with which disorder?

The clinical features of almost always appearing to be in a state of crisis; engaging in repetitive self-destructive acts to get attention, express anger, or numb oneself; and seeing others as good or bad (frequent splitting) are most closely associated with:

The clinical features of being excitable and emotional and behaving in a colorful, dramatic, extroverted fashion; a high degree of attention-seeking behavior; an endless need for reassurance; and sensation-seeking are most closely associated with which disorder?

The clinical features of subordinating one’s own needs to those of others, getting others to assume responsibility for major areas of one’s life, lacking self-confidence, and experiencing intense discomfort when left alone for more than a brief period are most closely associated with:

Which of the following statements is inconsistent with the diagnostic criteria for schizophrenia?